HOUSE COMMITTEE ON

AUDIT & HUMAN SERVICES BUDGET REFORM COMMITTEE

 

 

January 28, 2003†† Hearing Room 50

3:00 PM†††† Tapes8 - 9

 

MEMBERS PRESENT:††††††††††† Rep. Ben Westlund, Chair

Rep. Steve March, Vice-Chair

Rep. Susan Morgan, Vice-Chair

Rep. Alan Bates

Rep. Jeff Kruse

Rep. Jeff Merkley

 

GUEST MEMBERS:†† ††††††††††† Rep. Billy Dalto

††††††††††††††††††††††† ††††††††††† ††††††††††† Rep. Gordon Anderson

††††††††††††††††††††††† ††††††††††† ††††††††††† Rep. Laurie Monnes-Anderson

††††††††††††††††††††††† ††††††††††† ††††††††††† Rep. Carolyn Tomei

 

MEMBER EXCUSED:††††††††††† Rep. Randy Miller

 

 

STAFF PRESENT:††††† ††††††††††† Rick Berkobien, Committee Administrator

Kelly Fuller, Committee Assistant

 

 

MEASURES/ISSUES HEARD:Informational Meeting

††††††††††††††††††††††† ††††††††††††††††††††††† †† HB 2127 Work Session

Invited Testimony, Private Market Health Insurance, Including

†† Employer Sponsored Insurance Part 1- Rocky King,

Insurance Pool Governing Board

 

 

These minutes are in compliance with Senate and House Rules.Only text enclosed in quotation marks reports a speakerís exact words.For complete contents, please refer to the tapes.

 

TAPE/#

Speaker

Comments

TAPE 8, A

005

Chair Westlund

Convenes meeting at 3:15 pm and opens into a brief work session.

HB 2127 WORK SESSION

012

Rep. Morgan

MOTION:Moves HB 2127 to the floor WITHOUT

RECOMMENDATION as to passage and BE REFERRED to the

committee on Health and Human Services by prior reference.

012

 

VOTE:6-0

EXCUSED: 1 - Miller

 

Chair Westlund

Hearing no objection, declares the motion CARRIED.

015

Rep. Bates

Discussion.

017

Chair Westlund

Closes the work session and opens the informational meeting.

INFORMATIONAL MEETING

020

Chair Westlund

Welcome announcements and introduction of Rocky King, Administrator from the Insurance Pool Governing Board.

025

Rocky King

Recognizes Kelly Harms on his staff for her hard work and gives an overview of material presented.

182

Chair Westlund

Acknowledges the staff of the Insurance Pool Governing Board for their hard work as well.

185

King

Gives an overview and a theme of what will be discussed.

190

Chair Westlund

Comments that as much detail as possible in the presentation would be great.

193

King

Relates a story of when he started and his history with Bob DiPrete.Continues presentation.

197

Chair Westlund

Asks what the population of Medicare is.

198

King

Answer about the population of Medicare.

200

Chair Westlund

Asks if it is fair to infer that larger companies that self insure may save 2%.

208

King

Answers the questions about larger companies.

216

Rep. Kruse

Are there risk requirements for that group.If they are going to partially self insured, will they have a risk.

220

King

Asks for his guest to come up and speak to this question.

226

Peggy Anet

Peggy Anet, Health Insurance Association of America.

234

Anet

Answer question about risk requirements.

240

Rep. Kruse

Asks if they have a reserve to cover the risk and if not, then what.

245

Anet

Answers question about reserve.

250

Chair Westlund

Asks for definition of the acronym MEWA.

254

Anet

Multiple Employer Welfare Arrangement.

270

Rep .March

Asks about less than fully insured, when they pick up the high risk part, is that also know as major medical coverage.

272

King

Answers question about major medical coverage.

290

Rep. Bates

Comments on insurance risks.

298

Anet

Elaborates on the comments on insurance risks.

324

Chair Westlund

Asks what percentage of the population is self insured.

335

King

Responds to the percentage of self insured question and asks if Anet has any comments.

342

Anet

Made comments about the self insured.

362

King

Comment that two of the those three employers are major health plans or hospital systems and they are pulling out of the market themselves.

370

Rep. Monnes Anderson

Question on small employers having self insurance.

378

King

Answers and comments about small employers having self insurance.

385

Rep. Monnes Anderson

Asks about less than fully insured.

389

King

Answers the questions about fully insured.

TAPE 9, A

020

Rep. Monnes-Anderson

Asks if there is a minimum number of services that you can take as an employer on an insurance plan.

023

King

Answers question on the number of services.

026

Rep. Monnes Anderson

Was curious if small employers are mandated to have Mental Health, prescription drugs and physical therapy.

030

King

Answers the questions about mandates.

043

Rep. Tomei

Is amazed at that comment about the mandates.

047

King

Answers question about State Mandates.Continues presentation on page 6 (EXHIBIT A)

096

Chair Westlund

Asks how long does portability lasts.

102

King

Answers question about how long portability lasts..

103

Chair Westlund

Asks if you can go to another commercial carrier.

105

King

Talks about back-up insurance and give examples.

107

Chair Westlund

Asks if along with the same basic coverage.

110

King

Answers.

112

Chair Westlund

Asks if you were forced into OMIP would you have the same coverage that you had before.

120

King

Answers and continues.

148

Rep. Kruse

Asks what the major difference is between an Association plan and a MEWA.

155

King

Answers question about the basis difference.

160

Rep. Kruse

Communicates question more clearly.

170

Anet

Explains MEWA entities, they have a similar employment base.

195

King

Continues presentation

220

Rep. Kruse

Asks as we move from $500 to $1000 deductible, can we have some information on the benefits that are being removed.

225

King

Explains.

227

Rep. Kruse

Asks if it is more of a co-pay situation.

230

King

Answers question on deductibles and continues with wages verses benefits

251

Rep. Kruse

Comments that he is a small business owner, can he give my employees the money to find their own Insurance.

272

King

Comments on Insurance regulations who can opt out and who canít and continues presentation.

330

Chair Westlund

Asks if he can get the numbers again of those effected by 5100.

335

King

Responds with the numbers of those effected.

360

Rep. Bates

Comments on the possibility of measure 28 not passing and comments about the medically needy.

378

King

Responds to that there is no private sector option for the medically needy.

390

Chair Westlund

Asks if $8500 of the medically needy program are in for the for the benefits.

400

King

Responds to the questions of the medically needy program.

402

Rep. Tomei

Asksif the folks having mental health benefits eliminated will be part of the medically needy program, will they be applying for OMIP.

TAPE 8, B

008

King

Responds to the medically needy being on OMIP.

024

Rep. Tomei

Asks for those loosing their benefits may have to find, can you give me some sense of how much it will cost for those folks to find their own mental health benefits.

036

King

See (EXHIBIT A), it has information with the different benefits listed.

045

Rep. Bates

Clarifies and discusses a situation.

057

King

Comments and continues presentation on page 12.

086

Berkobien

Asks if you have a sense on the uninsured how we compare to the nation overall.

090

King

Answers.

092

Rep. Kruse

Comments that when the economy was good we were moving in a positive direction.

095

Rep. Bates

Makes comments to members on when the OHP was first in place.

105

King

Gave dates for OHP opening.Continues presentation.

140

Chair Westlund

Asks if there is anymore questions.

148

Rep. Kruse

Makes comments about what he has paid in his lifetime in premiums.

159

Chair Westlund

Rep. Kruseís comment is a prime example.

160

Chair Westlund

Closes informational meeting adjourns 4:45 pm

 

 

EXHIBIT SUMMARY

 

A Ė Oversized Exhibit, Health Insurance Resource Manual,†† 368 pp.